| Name: | DISTRIBUTOR DATA FORMS INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Inactive |
| Date of registration: | 14 Feb 1986 (39 years ago) |
| Date of dissolution: | 26 Oct 2016 |
| Entity Number: | 1058025 |
| ZIP code: | 13045 |
| County: | Onondaga |
| Place of Formation: | New York |
| Address: | 362 ROUTE 13 SOUTH, CORTLAND, NY, United States, 13045 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DISTRIBUTOR DATA FORMS INC 401K PLAN | 2010 | 161271416 | 2012-02-15 | DISTRIBUTOR DATA FORMS INC | 11 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 161271416 |
| Plan administrator’s name | DISTRIBUTOR DATA FORMS INC |
| Plan administrator’s address | 362 STATE RTE 13 SOUTH, CORTLAND, NY, 13045 |
| Administrator’s telephone number | 6077537777 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-15 |
| Name of individual signing | NICK SUTHEIMER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-07-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 6077537777 |
| Plan sponsor’s address | 362 STATE RTE 13 SOUTH, CORTLAND, NY, 13045 |
Plan administrator’s name and address
| Administrator’s EIN | 161271416 |
| Plan administrator’s name | DISTRIBUTOR DATA FORMS INC |
| Plan administrator’s address | 362 STATE RTE 13 SOUTH, CORTLAND, NY, 13045 |
| Administrator’s telephone number | 6077537777 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-21 |
| Name of individual signing | SUE PHELPS |
| Name | Role | Address |
|---|---|---|
| THOMAS B KAISER | DOS Process Agent | 362 ROUTE 13 SOUTH, CORTLAND, NY, United States, 13045 |
| Name | Role | Address |
|---|---|---|
| THOMAS B KAISER | Chief Executive Officer | 362 ROUTE 13 SOUTH, CORTLAND, NY, United States, 13045 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1995-07-07 | 2008-02-11 | Address | 362 ROUTE 13 SOUTH, CORTLAND, NY, 13045, USA (Type of address: Chief Executive Officer) |
| 1995-07-07 | 2008-02-11 | Address | 362 ROUTE 13 SOUTH, CORTLAND, NY, 13045, USA (Type of address: Principal Executive Office) |
| 1995-07-07 | 2008-02-11 | Address | 362 ROUTE 13 SOUTH, CORTLAND, NY, 13045, USA (Type of address: Service of Process) |
| 1986-03-11 | 1995-07-07 | Address | 1064 JAMES STREET, SYRACUSE, NY, 13203, USA (Type of address: Service of Process) |
| 1986-02-14 | 1986-03-11 | Address | 120 ARTERIAL ROAD, PO BOX 560, SYRACUSE, NY, 13206, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| DP-2248097 | 2016-10-26 | DISSOLUTION BY PROCLAMATION | 2016-10-26 |
| 100409003437 | 2010-04-09 | BIENNIAL STATEMENT | 2010-02-01 |
| 080211002256 | 2008-02-11 | BIENNIAL STATEMENT | 2008-02-01 |
| 060307002986 | 2006-03-07 | BIENNIAL STATEMENT | 2006-02-01 |
| 040205002624 | 2004-02-05 | BIENNIAL STATEMENT | 2004-02-01 |
| 020204002123 | 2002-02-04 | BIENNIAL STATEMENT | 2002-02-01 |
| 000306002392 | 2000-03-06 | BIENNIAL STATEMENT | 2000-02-01 |
| 980223002026 | 1998-02-23 | BIENNIAL STATEMENT | 1998-02-01 |
| 950707002273 | 1995-07-07 | BIENNIAL STATEMENT | 1994-02-01 |
| B331612-3 | 1986-03-11 | CERTIFICATE OF AMENDMENT | 1986-03-11 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 314349440 | 0215800 | 2011-01-19 | 362 ROUTE 13 SOUTH, CORTLAND, NY, 13045 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Inspection |
| Activity Nr | 314346966 |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Safety |
| Close Conference | 2010-08-26 |
| Emphasis | L: NBIHIHAZ, S: AMPUTATIONS |
| Case Closed | 2014-04-16 |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 5A0001 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 5 |
| Nr Exposed | 3 |
| Gravity | 03 |
| Hazard | LIFTING |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19100023 C01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 2 |
| Nr Exposed | 1 |
| Gravity | 03 |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19100023 D01 I |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 05 |
| Citation ID | 01003A |
| Citaton Type | Serious |
| Standard Cited | 19100106 E02 IVD |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 7 |
| Nr Exposed | 2 |
| Gravity | 05 |
| Citation ID | 01003B |
| Citaton Type | Serious |
| Standard Cited | 19100106 E02 IVA |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| Gravity | 05 |
| Citation ID | 01003C |
| Citaton Type | Serious |
| Standard Cited | 19100106 E09 I |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 05 |
| Citation ID | 01004 |
| Citaton Type | Serious |
| Standard Cited | 19100147 C01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| Gravity | 03 |
| Citation ID | 01005 |
| Citaton Type | Serious |
| Standard Cited | 19100157 G02 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 450.0 |
| Initial Penalty | 450.0 |
| Nr Instances | 5 |
| Nr Exposed | 5 |
| Gravity | 01 |
| Citation ID | 01006 |
| Citaton Type | Serious |
| Standard Cited | 19100178 L01 I |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 5 |
| Nr Exposed | 5 |
| Gravity | 03 |
| Citation ID | 01007 |
| Citaton Type | Serious |
| Standard Cited | 19100212 A01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 19 |
| Nr Exposed | 4 |
| Gravity | 03 |
| Citation ID | 01008 |
| Citaton Type | Serious |
| Standard Cited | 19100212 A03 II |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 4 |
| Nr Exposed | 2 |
| Gravity | 03 |
| Citation ID | 01009 |
| Citaton Type | Serious |
| Standard Cited | 19100212 A05 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 2 |
| Nr Exposed | 1 |
| Gravity | 03 |
| Citation ID | 01010 |
| Citaton Type | Serious |
| Standard Cited | 19100212 B |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 450.0 |
| Initial Penalty | 450.0 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 01 |
| Citation ID | 01011 |
| Citaton Type | Serious |
| Standard Cited | 19100219 C02 I |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 4 |
| Nr Exposed | 5 |
| Gravity | 03 |
| Citation ID | 01012A |
| Citaton Type | Serious |
| Standard Cited | 19100219 D01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01012B |
| Citaton Type | Serious |
| Standard Cited | 19100219 E03 I |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01013 |
| Citaton Type | Serious |
| Standard Cited | 19100219 F01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 2 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01014 |
| Citaton Type | Serious |
| Standard Cited | 19100219 F03 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 15 |
| Nr Exposed | 2 |
| Gravity | 03 |
| Citation ID | 01015 |
| Citaton Type | Serious |
| Standard Cited | 19100303 G02 I |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 750.0 |
| Initial Penalty | 750.0 |
| Nr Instances | 5 |
| Nr Exposed | 1 |
| Gravity | 03 |
| Citation ID | 01016 |
| Citaton Type | Serious |
| Standard Cited | 19100305 G01 IVA |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 450.0 |
| Initial Penalty | 450.0 |
| Nr Instances | 3 |
| Nr Exposed | 3 |
| Gravity | 01 |
| Citation ID | 01017A |
| Citaton Type | Serious |
| Standard Cited | 19101200 E01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Current Penalty | 450.0 |
| Initial Penalty | 450.0 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| Gravity | 01 |
| Citation ID | 01017B |
| Citaton Type | Serious |
| Standard Cited | 19101200 H01 |
| Issuance Date | 2010-10-15 |
| Abatement Due Date | 2010-11-17 |
| Nr Instances | 5 |
| Nr Exposed | 5 |
| Gravity | 01 |
Date of last update: 27 Feb 2025
Sources: New York Secretary of State
